The Effect of Mechanical Bowel Preparation on the Surgical Field in Laparoscopic Gynecologic Surgeries: A Prospective Randomized Controlled Trial
Purpose To evaluate the effects of mechanical bowel preparation (MBP) on the intraoperative visualization of the surgical field, bowel handling, intestinal load, and overall ease of surgery in patients undergoing elective laparoscopic gynecological surgeries. Methods The patients randomized to a MBP...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-07-01
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| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08941939.2022.2081389 |
| _version_ | 1797684473043615744 |
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| author | Ugur Kemal Ozturk Sami Acar Serkan Akış Esra Keles Cihat Murat Alınca Murat Api |
| author_facet | Ugur Kemal Ozturk Sami Acar Serkan Akış Esra Keles Cihat Murat Alınca Murat Api |
| author_sort | Ugur Kemal Ozturk |
| collection | DOAJ |
| description | Purpose To evaluate the effects of mechanical bowel preparation (MBP) on the intraoperative visualization of the surgical field, bowel handling, intestinal load, and overall ease of surgery in patients undergoing elective laparoscopic gynecological surgeries. Methods The patients randomized to a MBP group and a no preparation (NMBP) group. The senior surgeon remained blinded to the bowel regimen used by the patient. Intraoperative visualization of the surgical field, bowel handling, intestinal load, and overall ease of surgery were evaluated using a numeric rating scale (NRS). Results We enrolled 120 patients, of whom 109 completed the study, with 51 and 58 patients in the MBP and NMBP groups, respectively. The intraoperative visualization of the surgical field, intestinal load, and NRS scores for overall ease of surgery were better in the NMBP group (p = .03, p = .048, and p = .022, respectively). The results of the assessments also revealed no significant differences in surgical field visualization, ease of bowel handling, overall ease of surgery, or the time that patients experienced passage of flatus between obese (BMI > 30 kg/m2) and non-obese (BMI ≤ 30 kg/m2) patients in the two groups. Conclusions The current study revealed that MBP did not improve the intraoperative visualization of the surgical field or the overall ease of surgery. Moreover, MBP had no benefit when operating on patients who had a high BMI. Therefore, we do not recommend routine MBP before laparoscopic gynecological surgeries. |
| first_indexed | 2024-03-12T00:30:11Z |
| format | Article |
| id | doaj.art-6d328e106d0846239d62ec8af0ff1605 |
| institution | Directory Open Access Journal |
| issn | 0894-1939 1521-0553 |
| language | English |
| last_indexed | 2024-03-12T00:30:11Z |
| publishDate | 2022-07-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj.art-6d328e106d0846239d62ec8af0ff16052023-09-15T10:21:30ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532022-07-013571604160810.1080/08941939.2022.20813892081389The Effect of Mechanical Bowel Preparation on the Surgical Field in Laparoscopic Gynecologic Surgeries: A Prospective Randomized Controlled TrialUgur Kemal Ozturk0Sami Acar1Serkan Akış2Esra Keles3Cihat Murat Alınca4Murat Api5Department of Gynecologic Oncology, University of Health Sciences Turkey, Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of General Surgery, University of Health Sciences Turkey, Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Gynecologic Oncology, Adiyaman University Faculty of MedicineDepartment of Gynecologic Oncology, University of Health Sciences Turkey, Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Gynecologic Oncology, University of Health Sciences Turkey, Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Gynecologic Oncology, University of Health Sciences Turkey, Zeynep Kamil Women and Children’s Diseases Training and Research HospitalPurpose To evaluate the effects of mechanical bowel preparation (MBP) on the intraoperative visualization of the surgical field, bowel handling, intestinal load, and overall ease of surgery in patients undergoing elective laparoscopic gynecological surgeries. Methods The patients randomized to a MBP group and a no preparation (NMBP) group. The senior surgeon remained blinded to the bowel regimen used by the patient. Intraoperative visualization of the surgical field, bowel handling, intestinal load, and overall ease of surgery were evaluated using a numeric rating scale (NRS). Results We enrolled 120 patients, of whom 109 completed the study, with 51 and 58 patients in the MBP and NMBP groups, respectively. The intraoperative visualization of the surgical field, intestinal load, and NRS scores for overall ease of surgery were better in the NMBP group (p = .03, p = .048, and p = .022, respectively). The results of the assessments also revealed no significant differences in surgical field visualization, ease of bowel handling, overall ease of surgery, or the time that patients experienced passage of flatus between obese (BMI > 30 kg/m2) and non-obese (BMI ≤ 30 kg/m2) patients in the two groups. Conclusions The current study revealed that MBP did not improve the intraoperative visualization of the surgical field or the overall ease of surgery. Moreover, MBP had no benefit when operating on patients who had a high BMI. Therefore, we do not recommend routine MBP before laparoscopic gynecological surgeries.http://dx.doi.org/10.1080/08941939.2022.2081389mechanical bowel preparationgynecologylaparoscopybody mass index |
| spellingShingle | Ugur Kemal Ozturk Sami Acar Serkan Akış Esra Keles Cihat Murat Alınca Murat Api The Effect of Mechanical Bowel Preparation on the Surgical Field in Laparoscopic Gynecologic Surgeries: A Prospective Randomized Controlled Trial Journal of Investigative Surgery mechanical bowel preparation gynecology laparoscopy body mass index |
| title | The Effect of Mechanical Bowel Preparation on the Surgical Field in Laparoscopic Gynecologic Surgeries: A Prospective Randomized Controlled Trial |
| title_full | The Effect of Mechanical Bowel Preparation on the Surgical Field in Laparoscopic Gynecologic Surgeries: A Prospective Randomized Controlled Trial |
| title_fullStr | The Effect of Mechanical Bowel Preparation on the Surgical Field in Laparoscopic Gynecologic Surgeries: A Prospective Randomized Controlled Trial |
| title_full_unstemmed | The Effect of Mechanical Bowel Preparation on the Surgical Field in Laparoscopic Gynecologic Surgeries: A Prospective Randomized Controlled Trial |
| title_short | The Effect of Mechanical Bowel Preparation on the Surgical Field in Laparoscopic Gynecologic Surgeries: A Prospective Randomized Controlled Trial |
| title_sort | effect of mechanical bowel preparation on the surgical field in laparoscopic gynecologic surgeries a prospective randomized controlled trial |
| topic | mechanical bowel preparation gynecology laparoscopy body mass index |
| url | http://dx.doi.org/10.1080/08941939.2022.2081389 |
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